- Highmark Health (Harrisburg, PA)
- …+ Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Accredited Healthcare Fraud Investigator (AHFI) **SKILLS** + Must have knowledge ... **EXPERIENCE** **Required** + 5 years in the Health insurance industry and/or Healthcare fraud investigations + 1 year of leading projects of varying size and… more
- Umpqua Bank (Tigard, OR)
- Senior Fraud Investigator Corporate Risk Tigard, Oregon **Description** **About Us:** Umpqua Bank is headquartered in the Pacific Northwest with 5,000+ ... investigation analysis and findings. + Analyzes customer accounts during investigations for fraud . + Interacts with senior management concerning matters related… more
- CVS Health (Baton Rouge, LA)
- …to make health care more personal, convenient and affordable. Position SummaryAs a Senior Investigator you will conduct high level, complex investigations of ... known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, those that are national in scope, complex… more
- CVS Health (Springfield, IL)
- …make health care more personal, convenient and affordable. Position Summary: As a Senior Investigator you will conduct high level, complex investigations of ... known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high profile, those that are national in scope, complex… more
- CVS Health (Tallahassee, FL)
- …Components: - Conducts high level, complex investigations of known or suspected acts of healthcare fraud and abuse. - Routinely handles cases that are sensitive ... multi-disciplinary provider groups, or cases involving multiple perpetrators or intricate healthcare fraud schemes. - Investigates to prevent payment of… more
- CVS Health (Richmond, VA)
- …- Conducts investigations to effectively pursue the prevention, investigation, and prosecution of healthcare fraud and abuse, to recover lost funds, and to ... and practices. - Conducts investigations of known or suspected acts of healthcare fraud and abuse. - Communicates with federal, state, and local law enforcement… more
- Elevance Health (Columbus, OH)
- …for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... Job Description ** Investigator II** Schedule: 1-2 days per week in...claims. + Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company… more
- Elevance Health (Columbus, OH)
- …for the identification, investigation, and development of cases against perpetrators of healthcare fraud to recover corporate and client funds paid on ... ** Investigator ll** **Location** : This position will work...claims. + Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company… more
- Elevance Health (Indianapolis, IN)
- …for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds ... ** Investigator II** **Supporting the Payment Integrity line of...claims. + Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company… more
- The MITRE Corporation (Colorado Springs, CO)
- …government create lasting impact in fields as diverse as cybersecurity, healthcare , aviation, defense, and enterprise transformation. We're making a difference every ... logistics, radio-spectrum frequency management, health care delivery, cybersecurity analytics, fraud detection, satellite planning, homeland security and civilian aviation.… more